- Provides Clinical Oversight of ECM team regarding members physical and medical needs.
- Participates in developing patient-centered care plans for the enrollees on their panel.
- Assist in identifying health care needs that focuses on general health conditions, treatments, and interventions specific to each individual's health needs and consistent with standards of care.
- Actively consults with Care Managers to review medical visit summaries, discharge papers, prepare for upcoming appointments, or review appointment outcomes
- Provides health and preventive care education for acute health conditions, chronic disease management, and medication monitoring.
- Engages vulnerable populations as part of a multidisciplinary outreach team. This includes home visits, accompaniment to appointments, outreach to hospitals, homeless shelters and other settings, as needed
- Helps address Social Determinants of Health and enhances connections to community-based organizations
- Works with hospitals to coordinate hospital admission/discharge plans with the behavioral health clinician, PCP, pertinent specialists, and other organizations with the goal of preventing readmission, if possible
- Performs timely medication reconciliation following transitions in care. Supports medication adherence
- Implements prevention & engagement activities
- Engages in quality improvement efforts
- Valid Registered Nurse (RN) license in California, Psychiatric Mental Health Nurse Practitioner (PMH-NP), or PMH Clinical Nurse Specialist (PMH-CNS).
- Experience working with vulnerable populations, including persons with a history of trauma, those experiencing socioeconomic stress, homelessness, or substance use disorders
- Strong interpersonal skills and clinical problem solving
- Comfort working in an autonomous clinical setting and in an outreach setting
- Capability working with data to track and measure performance
- Basic computer skills, including the ability to send and receive emails and summarize data in spreadsheets.
- Valid CA Driver's License and eligibility for company vehicle insurance.
- Bachelor of Science in Nursing
- Care management experience
- Supervisory experience
- Bilingual in English and Spanish
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Registered Nurse - Rancho Cucamonga, United States - Chaparral Medical Group
Description
Job Description
Job DescriptionJob Description
The Enhanced Care Management (ECM) RN will be responsible for coordinating the care of patients enrolled in Chaparral's ECM program. The ECM RN is also responsible for Clinical Oversight of ECM Lead Care Managers to address the patient's medical and behavioral health needs. They will be active members of the Interdisciplinary Care Team meetings to discuss medication management/adherence, ensure appropriate follow up with Primary Care Provider, Behavioral Health Provider, and other specialist(s). The CM Nurse ensures that ECM members are receiving needed services and measuring progress towards the goals outlined in their patient-centered care plan.
The pay rate:
Responsibilities
As a CM Nurse within the ECM service:
Preferred Experience/Minimum Qualifications
Required:
Preferred:
Compensation: $45-60/hr. Variable based on qualifications, experience, and other interview factors.
Physical Demands: Most work will be in the field working with CalAIM populations (people experiencing homelessness, adults with SMI/SUD, adults transitioning from incarceration, adults with complex medical needs). Will likely require substantial walking, standing, sitting in a car, and driving in various weather conditions.
Employer note: While you will be working with Chaparral Medical Group doctors, providing care to patients under the Chaparral Medical Group brand, your employer will be Akido MSO LLC which has common ownership with Chaparral Medical Group. Akido MSO LLC is an equal opportunity employer, and we encourage qualified applicants of every background, ability, and life experience to contact us about appropriate employment opportunities.
Full time position
Company Overview
Over the past 40 years, Chaparral Medical Group (CMG) has established itself as a leading primary and multi-specialty care provider for California's Inland Empire. In 2022, CMG joined forces with Akido Labs, a tech-enabled healthcare company, to transform the healthcare experience from the ground up. This partnership joins CMG's medical services with Akido's innovative technology to relieve the frustrations felt by everyone involved in care delivery, from medical providers and their staff, to the patients and their families. Ultimately, this means our providers spend more time caring for patients and less time bogged down with administrative work.
As part of the Akido medical network, we are currently responsible for more than 250,000 patients in Southern California, with plans to expand into new markets across the U.S. We care deeply about the communities we serve and are committed to providing accessible, high quality healthcare that helps our patients and communities live their fullest lives.
We're building a dynamic, diverse and driven team as we continue to grow and broaden our impact. We are seeking passionate people who care deeply about helping patients and communities. We hope you'll join our team
